To be assured of reservations, please complete and mail this registration form to
Jim & Loretta Church, PO Box 183, 1035 Valley Road, Telford, PA 18969,
along with your deposit of $600 per person.

Please reserve space as follows on the Mediterranean Cruise on Holland America’s ms Zuiderdam
with Jim and Loretta Church, August 23–September 5, 2008

Enclosed is my deposit check of $600 per person, please make check payable to MTS TRAVEL.

Name(s): (Please Print — Names as they appear on passport)

Name 1) ________________________________________

Name 2) ________________________________________

Address __________________________________________________________________________

City, State, Zip _____________________________________________________________________

Phone(evenings) ____________________(day) ____________________ Fax ____________________

E-Mail Address _____________________________________

 I/we wish to be covered by travel protection insurance as follows:

 $310 per person (Please include this payment for travel insurance along with your deposit payment.)

   Insurance payments are not refundable.

 I DO NOT wish to be covered by travel insurance

Signature:  __________________________________________________________

Cabin Type:
 Category K - Inside Stateroom Category VD - Outside Stateroom w/ Balcony

 Category D - Outside Stateroom Category Category VC - Outside Statetroom w/ Balcony

 Category VA - Outside Stateroom w/ Balcony

MED082308VPM CST 2013363-40 www.mtstravel.com